Individual provider · Type 1 NPI

Kelly Jefferson

Specialist · Fayetteville, GA

NPI number 1811254055 Active

Practice location

500 Lanier Ave W Ste 701
Fayetteville, GA 30214-7643

Call (770) 460-9122 Map

Fax (770) 460-9132

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XCERTIFICATION (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1811254055

Kelly Jefferson's National Provider Identifier is 1811254055, issued on Apr 12, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fayetteville, GA. The record was last updated on Jan 2, 2013.